Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mathieu Joseph Agbayani Moulic

Individual provider Physical Therapist · NPI 1548852171

Mathieu Joseph Agbayani Moulic is a Physical Therapist in Private Practice in Montebello, California. Qualified in 2016, 10 years ago. Practices with Aqe Physical Therapy Inc, a 2-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
10
Licensed in
CA
In the registry since
2021
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Practice location Address checks out

433 N 4th St Ste 216
Montebello, CA 90640-4309
Phone: (323) 530-0433
Fax: (323) 530-0434
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 299815 (CA)

Record details

NPI number1548852171
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 4, 2021
Last updated in NPPESFebruary 4, 2021
Certification dateFebruary 4, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Aqe Physical Therapy Inc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Montebello